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DATE/TIME <br />TYPE <br />UGB: <br /> <br /> MANUFACTURED DWELLING PERMIT <br /> : 06/04/99 16:04 PERMIT NO <br /> : New Manufactured Dwelling STATUS <br />SITE: FD ISSUED <br /> TO EXPIRE <br /> PAGE <br /> <br />99-03984 <br />ISSUED <br />06/04/1999 <br />12/01/1999 <br />1 <br /> <br />WORK DESC <br /> <br />SITE ADDRESS <br /> <br /> : 1994 MD REPLACEMENT <br /> <br /> 9913 WISEACRE LN NE AR <br /> <br />MHP (Y/N) N <br />MHP/ MH SUBDIV: LOT: <br /> <br />TAX ACCOUNT : 75790-060 <br /> PARCEL SIZE : 3,2AC MAP: 6R ZONE: EFU LAND USE: <br /> <br />OWNER <br />APPLICANT <br /> ADDRESS <br /> <br />PETERSEN LAWRENCE <br />PETERSEN LAWRENCE <br />9913 WISEACRE LN NE <br />AURORA OR 97002 <br /> <br />PHONE 678-1401 <br /> <br />CONTRACTOR/ <br /> AGENT <br /> PHONE <br /> <br />INSTALLER <br />PHONE <br /> <br />PETERSEN LAWRENCE <br /> <br />LOCATOR: 041W30BAO0200 <br /> CITY: MARION COUNTY <br /> <br />OCCB: <br /> <br />MD LICENSE: <br /> <br />UNIT SQ FT HEIGHT: <br /> <br /> Units Description Fee <br /> 1 Manufactured dwelling fee,. 305,00 <br /> 1 State surcharge 15,25 <br /> 1 State administrative fee 30.00 <br /> 1 Zone surcharge 30,00 <br /> <br /> Assessed fees 380.25 <br /> Adjustments .00 <br /> Total fees 380.25 <br />PAYEE: PETERSEN LAWRENCE Total payments: 280.25 <br /> Balance due : .00 <br /> <br />THIS PERMIT IS NON-TRANSFERABLE.AND EXPIRES LBO DAYS FROM ISSUE DATE IF WORK <br />HAS NOT COMMENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF <br />CONSTRUCTION FAILS TO MEET ALL REQUIREMENTS DF STATE LAWS AND MARION COUNTY <br />ORDINANCES. UPON WRI~EN REQUEST, ONE SIX MONTH EXTENSION MAY BE GP~ANTED, <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> Marion County Building Inspection <br /> 3150 Lancaster Dr. N.E.. Suite C Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 Phone: (503)5~-5147. 24-hr Inspection Line: (503)373-z~27 <br /> <br /> <br />